DAFNA W GORDON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025698

License Status

EXPIRED

Business

First Name

DAFNA W

Last Name

GORDON

Suffix

Business Name

DAFNA W GORDON MD

Original Issue Date

06/23/1990

Effective Date

06/23/1990

Expiration Date

06/23/1993

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006